The Royal Melbourne Hospital, The Royal Women’s Hospital, Western Health, BreaCan and Inner North West Melbourne Medicare Local are collaborating in a Breast Cancer Survivorship Program.
The program aims to improve follow-up care for women who have completed active breast cancer treatment at these hospitals.
The goal is to develop, implement and evaluate a model of survivorship care. This model actively involves women and their GPs, and recognises the specific issues and opportunities that exist at the end of active treatment to support women to live well. Such as developing a Follow-Up Care Plan and implementing a shared follow-up care arrangement between the Breast Service and the General Practice.
This model of care will result in better coordinated and more personal health care planning and management. We would like women to feel more educated and empowered about their ongoing health care. This program will identify and address a woman’s immediate and future needs in terms of her follow-up care, and improve systems that share information between a woman, her GP, other community services and the hospitals in order to improve quality of care.
Eligible women will have:
- a consultation with a Breast Care Nurse at the end of active breast cancer treatment
- an individualised Follow-Up Care Plan developed at the hospital
The care plan includes:
- Information on diagnosis, history and treatment
- a health and well-being assessment including referrals (mental health, lifestyle, menopause, sexuality, fertility, etc)
- an individualised timetable of future examinations and investigations
- recommendations for follow-up care
- referral and contacts for different services and
Women and their GPs will receive a copy of the care plan. The woman will be asked to make an appointment with her GP within one month of receiving the care plan in order to discuss ongoing care. This also provides GPs with the opportunity to set up their recall systems and develop team care plans or management plans as appropriate.
It is preferred that all radiology tests are arranged through RMH Private Imaging and can be requested by the GP.
Mammogram or ultrasound request forms need to specify "Breast service shared care" to ensure patients are bulk billed.
GPs can refer to RMH Private Imaging for all general imaging services, however, please note that GP referrals for MRI studies are not eligible for a Medicare rebate.
Results are not given over the phone, but staff may check for you whether the exam has been completed and / or the report has been written. Reports may be electronically sent to your practice management software via Healthlink.
See the downloads below for forms.
For urgent or non-urgent results of any tests ordered by another doctor or specialist (eg., during an inpatient or emergency department stay), please complete the Pathology and Radiology results application form.
Reports may be automatically faxed through to your practice by completing the automatic faxing of reports request form.
We accept GP and specialist referrals for this service.
Referrals are triaged depending on priority. Emergency cases can present to the Emergency & Trauma Service at any time.
To refer a patient, complete and send your referral to Outpatients by fax to (03) 9342 4234.
You can use the following form or a template from your own system:
Referrals should include:
- relevant clinical history for the patient
- the reason for referral
- patient details including address, date of birth and contact phone numbers
- your details and provider number
- the name of the consultant (for Medicare clinics)
- if your patient requires ongoing management, please identify the referral as being "indefinite"